DR. BRADLEY D JOHNSON (DO) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1538130844
Otolaryngology/Facial Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for DR. BRADLEY D JOHNSON (DO)
8301 GOLDEN VALLEY RD
STE 200
GOLDEN VALLEY, MN 55427
Phone: (763) 233-5755
Fax: (763) 233-5782
Type: Mailing
9825 HOSPITAL DR STE 203
MAPLE GROVE, MN 553694772
Phone: (763) 233-5755
Type: Location
3366 Oakdale Ave N
150
Robbinsdale, MN 554222948
Phone: (763) 520-7840
Fax: (763) 520-1578
Type: Location
8301 Golden Valley Rd
Ste 200
Golden Valley, MN 55427
Phone: (763) 233-5755
Fax: (763) 233-5782
Type: Location
Oakdale Medical Building, 3366, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
150
ROBBINSDALE, MN 554222948
Phone: (763) 520-7840
Fax: (763) 520-1578
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Acclarent, Inc ($247).
Total Amount
$299
General + Research + Ownership
Payments
8
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $247 |
| Medtronic, Inc. | $27 |
| Baxter Healthcare | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101104001680 | I | Otolaryngology | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 440 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 95 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 110 | 110 | $0 |
| 69210 | Removal of impacted ear wax | 73 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 54 | 47 | $0 |
Insurance plans in this area (ZIP 55427)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | MN | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 249 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| Qualified Audiologist | VA | |
| Physician Assistant | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| Qualified Audiologist | MN | |
| Physician Assistant | MN | |
| O T O L A R Y N G O L O G Y | MN | |
| O T O L A R Y N G O L O G Y | MN |
Reviews
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